مقایسه کارآمدی دو روش درمانی غیر جراحی درمان فعال زودرس و بی حرکتی اولیه در درمان بیماران دچار پیچ خوردگی مچ پا

The aim of this study was the comparison of efficacy of two nonsurgical    methods in management of patients with acute ligamentous injury (Sprain)    of ankle which are “Primary immobilization” and “Early active functional    treatment”.           This study consist  of 200 patients with acute ankle sprain who referred to    emergency ward and clinic of orthopedics of Mobasher Kashani Hospital of    Hamadan. This was a clinical trial study. 100 patients were managed with    primary immobilization and the other 100 patients were treated with active    functional treatment. Information were gathered with a questionaire that    complete during a primary and later serial physical examinations. Datum    were  analyzed manually and then for quantitative   variables, t-test and for    gualitative  variables, fisher exact test were performed.           Results of this study revealed that the mean time for return to normal     daily activities in patients with grade I of ankle sprain that managed with    “primary immobilization” was14.5 days Vs 14.1 days in patients that managed    with “early   active functional treatment”.  In  addition   , the mean time for    return to professional or athletic activities, in  patients with grade I and  II of    ankle sprain in two groups had not a significant  difference. But the mean    time for return to normal daily activities in patients with grade II of ankle    sprain with “primary immobilizatin” and “early active functional treatment”    were 27.4 and 21.38 days respectively. In two groups there was no    difference in level of fuctional activity on 90 days after treatment.           Finally we could say that there was no difference between these two    methods in approaching the patients to their pre-injury level of activity.